When these teeth are severely impacted in an inverted position, often complicated by root dilaceration (curvature), spontaneous eruption is precluded.
Historically, managing such complex cases has presented a clinical dilemma, with conventional options ranging from extraction and prosthetic replacement to surgical repositioning, the latter of which is often associated with a high incidence of severe complications.
While fenestration and orthodontic traction offer a conservative approach, clinicians frequently hesitate to treat teeth with high crown axis inclination or severe root curvature due to concerns over potential treatment failures, such as ankylosis, external root resorption, or root exposure.
► DENTAL BOOK: Orthodontics - Diagnosis and Management of Malocclusion and Dentofacial Deformities - Om Prakash Kharbanda
The article, "Orthodontic management of severe inversely impacted maxillary central incisors: a case series," critically examines the possibility of successful conservative orthodontic management in young patients presenting with this severe condition.
By analyzing the outcomes of three cases and studying factors such as crown axis inclination, root curvature, and the timing of intervention, this study provides compelling evidence that successful alignment and continued root formation are achievable.
The findings suggest that the crucial determinant for a favorable prognosis is early treatment initiation during the developmental stage, rather than the initial severity of the tooth's angular positioning.
👉 To delve into the detailed case analyses, methodologies, and radiographic findings that support these critical conclusions, We invite you to read the complete article in PDF format.
